PMID- 21350242
OWN - NLM
STAT- MEDLINE
DCOM- 20110609
LR  - 20191210
IS  - 1758-535X (Electronic)
IS  - 1079-5006 (Linking)
VI  - 66
IP  - 5
DP  - 2011 May
TI  - A randomized trial of effects of health risk appraisal combined with group 
      sessions or home visits on preventive behaviors in older adults.
PG  - 591-8
LID - 10.1093/gerona/glr021 [doi]
AB  - BACKGROUND: To explore effects of a health risk appraisal for older people 
      (HRA-O) program with reinforcement, we conducted a randomized controlled trial in 
      21 general practices in Hamburg, Germany. METHODS: Overall, 2,580 older patients 
      of 14 general practitioners trained in reinforcing recommendations related to 
      HRA-O-identified risk factors were randomized into intervention (n = 878) and 
      control (n = 1,702) groups. Patients (n = 746) of seven additional matched 
      general practitioners who did not receive this training served as a comparison 
      group. Patients allocated to the intervention group, and their general 
      practitioners, received computer-tailored written recommendations, and patients 
      were offered the choice between interdisciplinary group sessions (geriatrician, 
      physiotherapist, social worker, and nutritionist) and home visits (nurse). 
      RESULTS: Among the intervention group, 580 (66%) persons made use of personal 
      reinforcement (group sessions: 503 [87%], home visits: 77 [13%]). At 1-year 
      follow-up, persons in the intervention group had higher use of preventive 
      services (eg, influenza vaccinations, adjusted odds ratio 1.7; 95% confidence 
      interval 1.4-2.1) and more favorable health behavior (eg, high fruit/fiber 
      intake, odds ratio 2.0; 95% confidence interval 1.6-2.6), as compared with 
      controls. Comparisons between intervention and comparison group data revealed 
      similar effects, suggesting that physician training alone had no effect. Subgroup 
      analyses indicated favorable effects for HRA-O with personal reinforcement, but 
      not for HRA-O without reinforcement. CONCLUSIONS: HRA-O combined with physician 
      training and personal reinforcement had favorable effects on preventive care use 
      and health behavior.
FAU - Dapp, Ulrike
AU  - Dapp U
AD  - Albertinen-Haus Geriatrics Center, Scientific Department at the University of 
      Hamburg, Germany.
FAU - Anders, Jennifer A M
AU  - Anders JA
FAU - von Renteln-Kruse, Wolfgang
AU  - von Renteln-Kruse W
FAU - Minder, Christoph E
AU  - Minder CE
FAU - Meier-Baumgartner, Hans Peter
AU  - Meier-Baumgartner HP
FAU - Swift, Cameron G
AU  - Swift CG
FAU - Gillmann, Gerhard
AU  - Gillmann G
FAU - Egger, Matthias
AU  - Egger M
FAU - Beck, John C
AU  - Beck JC
FAU - Stuck, Andreas E
AU  - Stuck AE
CN  - PRO-AGE Study Group
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20110224
PL  - United States
TA  - J Gerontol A Biol Sci Med Sci
JT  - The journals of gerontology. Series A, Biological sciences and medical sciences
JID - 9502837
SB  - IM
MH  - Aged
MH  - Germany
MH  - *Group Processes
MH  - Health Behavior
MH  - Health Promotion/*methods
MH  - *Health Services for the Aged
MH  - *Health Status Indicators
MH  - *House Calls
MH  - Humans
MH  - Patient Care Team
MH  - Preventive Health Services
MH  - Reinforcement, Psychology
FIR - Lubke, Norbert
IR  - Lubke N
FIR - Laub, Susann
IR  - Laub S
FIR - Gihsa, Kim
IR  - Gihsa K
FIR - Golgert, Stefan
IR  - Golgert S
FIR - Iliffe, Steve
IR  - Iliffe S
FIR - Kharicha, Kalpa
IR  - Kharicha K
FIR - Harari, Danielle
IR  - Harari D
FIR - Born, Stephan
IR  - Born S
FIR - Moser, Andre
IR  - Moser A
FIR - Munzer, Thomas
IR  - Munzer T
FIR - Wagner, Jan
IR  - Wagner J
FIR - Goetz, Stefan M
IR  - Goetz SM
FIR - Hansen, Gesa
IR  - Hansen G
FIR - Weritz-Hanf, Petra
IR  - Weritz-Hanf P
FIR - Herz, Ingeburg
IR  - Herz I
FIR - Herz, Wolfgang
IR  - Herz W
FIR - Satrapa-Schill, Almut
IR  - Satrapa-Schill A
EDAT- 2011/02/26 06:00
MHDA- 2011/06/10 06:00
CRDT- 2011/02/26 06:00
PHST- 2011/02/26 06:00 [entrez]
PHST- 2011/02/26 06:00 [pubmed]
PHST- 2011/06/10 06:00 [medline]
AID - glr021 [pii]
AID - 10.1093/gerona/glr021 [doi]
PST - ppublish
SO  - J Gerontol A Biol Sci Med Sci. 2011 May;66(5):591-8. doi: 10.1093/gerona/glr021. 
      Epub 2011 Feb 24.